Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL G BLAKE, O.D.
ActiveDR. MICHAEL G BLAKE, O.D. is a Optometrist healthcare provider located in GALLUP, New Mexico. NPI 1831161264 is currently active in the NPPES registry. Verify at CMS.
Optometrist · GALLUP, NM
Registration Details
- NPI Number
- 1831161264
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 1, 2006 (20.48933290246 yrs)
- Last Updated
- Dec 11, 2008
- Licenses
-
2241 (NM)2241 (NM)2241 (NM)2241 (NM)2241 (NM)
Practice Information
- Address
-
124 W COAL AVEGALLUP, NM, 873016206Browse NM providers · Browse ZIP 87301
- Phone
- 5057222020
- Fax
- 5058632204
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Corneal & Contact Management Optometrist
- Additional Specialty
- Low Vision Rehabilitation Optometrist
- Additional Specialty
- Sports Vision Optometrist
- Additional Specialty
- Vision Therapy Optometrist
Other Optometrist Providers in GALLUP, NM
| Name | Credential | NPI |
|---|---|---|
| BRIAN CULLIGAN | O.D. | 1942230610 |
| DR. WALTER ERNEST BALFOUR | O.D. | 1083770119 |
| DR. QUINT DI GIACOMO | O.D. | 1598889891 |
| DR. PAUL WILLIAM GRAVES | O.D. | 1801917596 |
| DR. BRANDI NICHOLE SMITH MCGRAW | O.D. | 1861631293 |
| DR. MATTHEW DAVID MCGRAW | OD | 1558599217 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.